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APPL��ATION FO�' �,�,� <br /> tME�+�prMn CONSTRUCTION <br /> cm oF <br /> ._ everett PERMIT <br /> DEPT.OF COMMUNIIY DEVELOPMENT SERVICES <br /> CITY NALI I59-074i <br /> EVERETT,WA9B201 �]COM6INATIGN ❑ BUILDING ❑MECHANICAL UPLUMlING PERMIT NO. <br /> OWNIR Mnll ADDMI55 �CIiY ZIP PNONE <br /> � , �dlrS �� // �, s� r> /'.3/ I'�r l� �•�- i—a e r-E�'f- 9$��,,r "�y— �r'�4� <br /> MICNIL(ClORO[SIGNfN M�IIeDOR155 CITY ZIP FNO F <br /> GINfRAI COv11UC10Rl � M�II ADOIIl55 CIIY 21P PNONE llC[i4E 1 <br /> \ <br /> J <br /> m[OUN1Ul COt+1RAC10R M�II eDON[55 111Y ❑P PMO F lIC[NSF� <br /> PWM11P14LCO4iR�CiOR MnilAD�0.65 CI1Y ZIP PHOMf tICFNSE� <br /> Cl�SSOf WOMK <br /> �NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE GSIGN ❑GARAGE ❑BUILDING RELOCATION <br /> V�WAPONOI WORK <br /> • + gOC <br /> DIS[ Pt OPt ' <br /> � d 'I ' � ci �� � � ,- ��ci -� ,'Nc� '-t d <br /> veorus�ous�or nunrnr+c / � � I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br /> l�C�d � ,��� � v PLICA?ION AND KNOW THE SAME TO BE TRUE AND CORRECt ALL <br /> l[WLO(SCRIPilONO1PAOPIRiY�S110WNB[lON'OPAti�CN10l1PCOP161 PROVIilON50FLAW5ANDORDINANCESGOVERNINGTHISTYPE <br /> e „ ,/ \/ OF WURK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ior / �. aioc:: ���ov C"''�"'T� — r' OR NOT. THE GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br /> � GNE AUTHORITY TO VIOUTE OR CANCEL THE PROVISION$ OF <br /> ANY OTHER STATE OR LOGL UW REGULATING CONSTRUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRACTO0.OR AUTNORIZED ACENT D�TE <br /> -�-9� <br /> ioeeooeiss � . X�f/�Z, /v �liJ-QN . —��C.. - <br /> / �c i � �� � <br /> PWMlING MECNANICAL � <br /> NO. TY►E OF FI%TURE FEE NO. TY►E OL EQUI�MENT FFF <br /> WAT[R C105[T(tOIIET) AIR COND UYITS—M P EA <br /> BATHTU6 NEFPIGERATIONUNITS—HP FA <br /> LAVATORY�WASMPASIN� HOIL[RS—MP FA <br /> SNOwER GASFlRFDAC UNITS—iONNAGEEA <br /> KITCHEN SINK 8 OISP fORCE�Alp SIST[MS—B T U M EA <br /> D'SwASHER WAIIME�TERS—OTU M <br /> LAUNDftY7RAY UNITHFATERS—PTU M <br /> ClO7HES W�SMEN L\'APORAiIVE COOLERS <br /> WA7ER NEATFR CLOTHFS ORYERS <br /> VLNiILA110N FAN <br /> UNINAL <br /> ORINK�NG FOUNi�IN RANLE HOOD <br /> f1008�RAIN �IR NANDLING UNIT— C.F M <br /> VACUUM B2EAKERS $IOVE <br /> BOOf DRAINS—RAINLEAOFRS �1[TAL FIREPLACC 8 CHIMN[Y <br /> 51NK(5[RVICF—BAN.E TC 1 <br /> i <br /> 1 <br /> � SU�TOTAI fU/TOTAI � � <br /> �E�MIT f ►EIIMIT f <br /> TOUI/EE f tOi�l i[F f <br /> SIDf YARD SfTBACK STR[[T SI7AACK RUN YARD SETBACK PIAN CM[CK NUh10ER PUN CNECK FEE <br /> K//� '+ ��/ FEE �3 RKEIPTNO. <br /> U V r <br /> U'E ZON[ LOT ANEA y���NT T[ FEES VAIU�TION IFE <br /> ❑Y6 �NO <br /> lYc)P[OIF CONST OCCUPANCY GFOUP NO Of DWRUNG UNITS <br /> \YT ��.�d 1 eunoiNc s }L) <br /> 512E OF BIDG NO OF STOR�I__,ES l MA% OCC IOAD <br /> y_,__----� �— PWMOING <br /> fIR[ ZONE BAS[MEN7 ❑Lf)ROOMS FlRE SPNID!KLtRS <br /> RfQUIR[D MFCNANIUL <br /> ._—--^ 'r — !'lYLS O <br /> A►�AOVALS �T b�iF OTMfR <br /> 1 [NVIRONMENTALCHECKLIST PtN��TY U.fiC. <br /> SEC ]ONaI <br /> 7 PUIIDING PIANS <br /> � iOTAI <br /> ] fINE MYDRANT <br /> 1 FIRE PROIFCTION SVSTEM ►EIIMI�VALIDAl10N <br /> WHEN PROPlRLY VAII�ATED pN THIS SPACE)TMIS IS YOUR PERMIT <br /> 5 GRADINGIL%UVATIONbClU0.1NGLRUtlHING <br /> 6 DRAINAGf <br /> 7. ENVIRONMENTAL IMPACT S1ATfMENT <br /> E. HEAITM DISfRICT <br /> APPLICATIJN ACC BY 7LAN5 CNFCKED BY APPR fOR ISSUANCE BY <br /> V �'i <br /> 95�9 <br />